Pricey CURAPROX,
My pals have been speaking about switching from dental floss to interdental brushes for higher oral care and simpler brushing. Plainly everyone seems to be speaking about interdentals, however how do I make certain they’re proper for me? Is there a solution to see whether or not I ought to use them or not? What’s the skilled perspective on interdentals?
— Alex M., Hamburg
Pricey Alex,
Though this recommendation comes from a licensed skilled, make sure you see your dentist earlier than you do something new to your enamel.
The query now will not be whether or not it’s best to use interdentals or not – it’s about correct choice of these brushes and strategies. So be sure to see your dentist to get assist with deciding on the correct measurement and sort of interdental brush and studying correct interdental brushing strategies.
Having mentioned that, let’s have a look at interdentals and oral care typically to offer you a greater understanding.
The issue: when pure biofilm turns into dental plaque
Like with nearly the whole lot in nature, there are at all times some micro organism in your mouth and in your enamel. Micro organism are principally in every single place: within the air, in meals, in your pores and skin, the entire world is roofed in them, so don’t be stunned.
Normally, these micro organism are in excellent stability with the protecting brokers in our mouth. We’ve sure antibacterial brokers in our saliva that preserve the conventional bacterial flora in verify. However when micro organism meet a tough floor (our enamel) in a moist surroundings, they have a tendency to decide on that floor and begin increase.
In our mouth, micro organism construct buildings that we name biofilm – it’s a layer of residing organisms strengthened with protecting components. This biofilm permits micro organism to stay and breed in a extra protected surroundings. Principally, biofilm is like micro organism constructing villages, cities and cities – however in your enamel. The micro organism don’t have any concern about your well-being, so they only construct the movie wherever they’ll.
When micro organism breed within the security of biofilm, they produce lots of waste. The larger and stronger the biofilm, the extra waste micro organism produce. This waste offsets the chemical stability on our enamel, and results in tooth decay, dangerous breath and all kinds of gum illness. When the movie is just too thick and robust, we name it dental plaque. Naturally, we wish to keep away from plaque as a lot as we are able to.

destroy the plaque
The one solution to correctly destroy the biofilm is bodily disrupting its construction. You are taking a comfortable toothbrush and clear your enamel: two occasions a day, gently and completely, back and front, till the enamel are clear. Dashing by the method received’t work: whenever you don’t brush correctly, there’s lots of biofilm left on the enamel, so micro organism don’t have any downside rebuilding their colonies within the subsequent few hours.
Utilizing a mouthwash as an alternative of brushing received’t work both: the movie can get actually sturdy, so a mouthwash received’t do any lasting harm. You would possibly really feel freshness in your mouth, however this sense merely masks the truth that the biofilm continues to be there, and the bacterial colony is rising stronger.
The identical goes for chewing gum: it masks dangerous breath, however the bacterial colonies are nonetheless there, breeding and producing waste. To eliminate the plaque, you’ve acquired to brush; there isn’t any different means.
Toothpaste additionally performs an necessary function in preventing the plaque: the biofilm will get destroyed by the mechanical brushing motion, after which the paste helps enhance your pure defence (provided that it accommodates fluoride, however that’s a narrative for one more time). Nonetheless, the paste alone doesn’t work.
Dental plaque hides within the interdental house
Typical brushing solely covers the entrance of your enamel. Correct brushing has to cowl the back and front. However no typical brush can attain the areas on the sides of your enamel – we name these areas the interdental house. When you’ve got meals caught in your enamel, that’s the place it goes.
Everybody has some form of interdental house, however since your tongue isn’t skinny sufficient to get there, you would possibly suppose you’ve got none. However you do: in the event you ever used a toothpick, that’s the place it went.

Interdental house is one of the best place for the biofilm to build up: it’s normally undisturbed, quiet and stuffed with vitamins. So even folks with nice brushing habits can have dental plaque accumulating within the interdental house. This place must be cleaned.
Cleansing the interdental house: flossing vs. interdental brush
There are two frequent methods to scrub interdental house: dental floss and interdental brushes.
In accordance with a latest meta-analysis, interdental brushes are considerably simpler and fewer aggressive than floss. Dentists additionally level to the truth that floss can minimize into gums and harm them, whereas the interdental brush doesn’t do this. Nonetheless, some locations will solely enable entry by floss, and your dentist will point out this if wanted.
Interdental brushes go between your enamel and destroy the buildings of the biofilm. A easy in-and-out motion is normally sufficient. The comb is then rinsed clear and might be reused.
Not like dental floss, interdental brushes have bristles that get into all corners and areas and clear out the plaque. This makes them simpler than floss.

For various sizes of interdental areas, you want totally different sizes of interdental brushes. Make certain your dentist picks out the correct sizes for you and exams them out with you. You would possibly get totally different interdentals for various components of your mouth: for instance, you’ll have entrance enamel cleaned with the thinner brush, and your again enamel with a thicker one.
It’s important to comply with your dentist’s suggestions on the sizes of your interdentals. Cleansing with a brush that’s too small might be ineffective – the bristles received’t do the job. If the comb is just too large, it received’t match. Toothbrush makers have sufficient sizes for all enamel, so simply comply with your dentist’s suggestions.
What to contemplate whenever you select an interdental
Since interdentals go between your enamel, it’s important to select their measurement rigorously to keep away from any harm or unpleasantness. It’s greatest to see your dentist and have them measure your interdental house. Each dentist has a correct device that helps them measure exactly your interdental house and match it with a correct sort of interdental brush. You’ll get a suggestion for the precise measurement of the comb and perhaps even some samples to strive at house.
It’s a good suggestion to strive utilizing your new interdental whereas nonetheless in your dentist’s workplace. That means, you’ll be sure to’re doing it proper and never damaging your enamel and gums. Be at liberty to ask any questions and get acquainted with your new interdentals earlier than taking them house.
Some folks expertise non permanent bleeding after they use an interdental for the primary time: this can be a signal {that a} delicate type of gum illness has already began close to the interdental house, and by brushing you’ve disrupted a small portion of the gum that accommodates tiny blood vessels. It’s a very good factor you caught it early, as a result of just a little later you may be getting the identical type of bleeding from typical brushing. Don’t fear: when you clear out the biofilm from in between your enamel, the gum irritation will go away, the blood vessels might be protected and there’ll be no bleeding.
If the bleeding persists, contact your dentist.
What to keep away from
Don’t self-diagnose gum illnesses, don’t measure your personal interdental house and don’t refill on interdental brushes primarily based on self-diagnosis. Interdentals must be picked by an expert who can expertly consider your enamel. There are various sorts of interdental brushes that go well with sure tooth situations, so don’t self-prescribe or self-medicate, irrespective of how user-friendly the packaging appears.
Don’t substitute common brushing with interdental brushing altogether. Interdental cleansing is part of your brushing ritual. Correct common toothbrushing continues to be very important: comfortable brush, mild round motions, back and front, till clear, twice a day.
At all times begin with probably the most troublesome locations: A correct toothbrushing method that really works
It’s usually a good suggestion to keep away from a high-carb, high-sugar weight-reduction plan because it reduces your saliva’s capability to guard your enamel. Micro organism breed higher when sugars abound, so don’t give them the chance.
When you have diabetes or immune-related points, be additional cautious together with your oral hygiene and interdental house. Lowered immune response weakens your gums’ skill to counteract the micro organism which can be already in your enamel, making gums extra vulnerable to irritation.